Page 33 - 《中国药房》2023年11期

处方流转的影响因素分析及其平台构建的质性研究
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郭一娇 ，刘德阳 ，唐晓蓉 ，胡 明 （1.四川大学华西药学院，成都 610041；2.四川省药械招标采购服务中
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心，成都 610095）
中图分类号 R951 文献标志码 A 文章编号 1001-0408（2023）11-1307-06
DOI 10.6039/j.issn.1001-0408.2023.11.05

摘 要 目的 探究“互联网+”处方流转的影响因素以及处方流转平台构建规范，为政府制定相关政策以及处方流转平台规范建
设提供参考。方法 选取四川省医疗机构处方流转过程中的利益相关者进行关键知情人访谈，并使用扎根理论对资料进行分析。
结果 处方流转的影响因素可归结为参与者因素、行政决策因素、信息技术因素三大方面。处方流转的影响因素主要在于药店准
入退出机制、医保报销服务、配套政策情况和药学服务能力方面。在药店准入退出机制方面，应考虑药店资质、药学服务人员、药
品配备和配送情况等，统一药店准入标准；在医保报销服务方面，应积极对接社会药店，实现定点药店流转处方医保报销；在配套
政策方面，应注重构建处方流转顶层设计；在药学服务能力方面，应定期培训和考核药店执业药师用药咨询、处方审核等药学服务
能力。结论 参与者影响处方流转较多，药店准入退出机制和药学服务能力有待提升。处方流转平台建设类型多样，但各具优劣
性。建议相关政府部门应提高药店准入门槛、跟进医保报销服务和配套政策、探索提升药学服务能力，主导并出台相关政策及措
施，促进处方流转，使“互联网+”处方流转有序发展。
关键词 处方流转；药店准入退出；医保报销；药学服务

A qualitative study on the influencing factors of prescription circulation and its platform construction
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GUO Yijiao ，LIU Deyang ，TANG Xiaorong ，HU Ming （1. West China College of Pharmacy， Sichuan
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University， Chengdu 610041， China；2. Sichuan Provincial Service Center for Medical Equipment Biding and
Procurement， Chengdu 610095， China）
ABSTRACT OBJECTIVE To explore the influential factors for “Internet + ” prescription circulation and construction
specifications of prescription circulation platform， so as to provide reference for the government to formulate relevant policies and
standardized construction of prescription circulation platform. METHODS Stakeholders in the process of prescription circulation
service in medical institutions in Sichuan province were selected to conduct key insider interviews， and grounded theory was used
to analyze the data. RESULTS The influential factors of prescription circulation could be divided into three aspects： participant
factor， administrative decision factor and information technology factor. The influential factors of prescription circulation mainly lay
in pharmacy admission and withdrawal mechanism， medical insurance reimbursement service， supporting policies and
pharmaceutical care ability. In terms of pharmacy admission and withdrawal mechanism， pharmacy qualification， pharmaceutical
service personnel， drug allocation and distribution should be considered to unify pharmacy admission standards； in terms of medical
insurance reimbursement service， it should actively connect with social pharmacies to realize the transfer of prescription medical
insurance reimbursement from designated pharmacies； in terms of supporting policies， it should pay attention to the construction of
the top-level design of prescription circulation； in terms of pharmaceutical care ability， regular training and assessment of licensed
pharmacists should be performed in drug consultation， prescription review and other pharmaceutical care. CONCLUSIONS
Participants have more influence on prescription circulation， and pharmacy admission and withdrawal mechanism and
pharmaceutical care ability need to be improved. There are various types of prescription circulation platform construction， but each
has its own advantages and disadvantages. It is suggested that relevant government departments should improve the access threshold
of pharmacies， follow up medical insurance reimbursement services and supporting policies， and explore ways to improve
pharmaceutical care capacity， leading and issuing relevant policies and measures to promote the prescription circulation service and
make the “Internet +” prescription circulation develop in an orderly manner.
KEYWORDS prescription circulation； pharmacy admission
Δ 基金项目 四川省科技计划软科学项目（No.2020JDR0055）；四 and withdrawal； medical insurance reimbursement； phar-
川省卫生和计划生育委员会科研课题（No.16PJ411） maceutical care
＊第一作者 硕士研究生。研究方向：药物政策、药物经济学。
E-mail：838099386@qq.com
处方流转是指处方流转平台与医疗机构和药店等
# 通信作者 教授，博士生导师，博士。研究方向：药物政策、药物
经济学。E-mail：179271938@qq.com 平台数据对接，医疗机构将流转处方以电子处方的形式

中国药房 2023年第34卷第11期 China Pharmacy 2023 Vol. 34 No. 11 · 1307 ·